EFA for derm

Question 1

Eczema on face for child. Mx

Answer 1

Topical hydrocortisone

Question 2

Acne management

Answer 2

Topical retinoids
Topical antibiotics
Isotretinoin - secondary care only
Lymecycline - GP

Co-cyprindiol, desogestrel etc - COCP so contraindicated if previously

Question 2

Acne management

Answer 2

Topical retinoids
Topical antibiotics
Isotretinoin - secondary care only
Lymecycline - GP

Co-cyprindiol, desogestrel etc - COCP so contraindicated if previously

Question 3

Shin redness and ankle pain.

Answer 3

Erythema nodosum

Question 4

What enzymes can go up in sarcoidosis?

Answer 4

Sarcoidosis - ACE can go up

Question 5

Recurrent itchy rash name

Answer 5

Urticaria

Question 6

Urticaria treatment options - sedating, non-sedating, for chronic etc.

Answer 6

Oral clorphenamine maleate - sedating
Loratidine - non sedating
Pred - for chronic urticaria
Aqueous topical cream or hydrocortisone doesn’t work because it’s deeper in the dermis

Question 7

Why would you not use topical hydrocortisone or acqueous cream for urticaria?

Answer 7

Because urticaria is deeper in the skin so topical treatment can’t reach

Question 8

Mx of Bowen’s disease

Answer 8

5-Fluorouracil (topical chemotherapy)

Question 9

Mx of folliculitis

Answer 9

Flucloxacillin

Question 10

Generalised itching, linear scaling at finger webs, working in an old people’s home.

Answer 10

Scabies

Question 11

Scabies treatment

Answer 11

Permethrin